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干细胞在蛛网膜下腔出血中的治疗潜力。

Therapeutic potential of stem cells in subarachnoid hemorrhage.

作者信息

Kanamaru Hideki, Suzuki Hidenori

机构信息

Department of Neurosurgery, Mie University Graduate School of Medicine, Tsu, Japan.

出版信息

Neural Regen Res. 2025 Apr 1;20(4):936-945. doi: 10.4103/NRR.NRR-D-24-00124. Epub 2024 May 17.

Abstract

Aneurysm rupture can result in subarachnoid hemorrhage, a condition with potentially severe consequences, such as disability and death. In the acute stage, early brain injury manifests as intracranial pressure elevation, global cerebral ischemia, acute hydrocephalus, and direct blood-brain contact due to aneurysm rupture. This may subsequently cause delayed cerebral infarction, often with cerebral vasospasm, significantly affecting patient outcomes. Chronic complications such as brain volume loss and chronic hydrocephalus can further impact outcomes. Investigating the mechanisms of subarachnoid hemorrhage-induced brain injury is paramount for identifying effective treatments. Stem cell therapy, with its multipotent differentiation capacity and anti-inflammatory effects, has emerged as a promising approach for treating previously deemed incurable conditions. This review focuses on the potential application of stem cells in subarachnoid hemorrhage pathology and explores their role in neurogenesis and as a therapeutic intervention in preclinical and clinical subarachnoid hemorrhage studies.

摘要

动脉瘤破裂可导致蛛网膜下腔出血,这是一种具有潜在严重后果的疾病,如残疾和死亡。在急性期,早期脑损伤表现为颅内压升高、全脑缺血、急性脑积水以及由于动脉瘤破裂导致的血液与脑的直接接触。这随后可能导致延迟性脑梗死,常伴有脑血管痉挛,显著影响患者的预后。诸如脑容量减少和慢性脑积水等慢性并发症会进一步影响预后。研究蛛网膜下腔出血所致脑损伤的机制对于确定有效的治疗方法至关重要。干细胞疗法凭借其多能分化能力和抗炎作用,已成为治疗先前被认为无法治愈疾病的一种有前景的方法。本综述重点关注干细胞在蛛网膜下腔出血病理中的潜在应用,并探讨它们在神经发生中的作用以及作为临床前和临床蛛网膜下腔出血研究中的一种治疗干预手段。

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